NPI | 1720139777 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207R00000X Internal Medicine (Licence: DC MD31065) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: MD D53689) |
207R00000X Internal Medicine (Licence: VA 0101231535) | |
Enumeration Date | 2007-01-16 |
Last Update Date | 2021-06-25 |